Organization Active NPI

Michael O. Williams DDS.PA

Doing business as Gulf Coast Center For Advanced Cosmetic Orthodonics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Gulfport, MS
National Provider Identifier
1538328836
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
OR-19-80/1738-76 Issued in MS
Legal business name
MICHAEL O. WILLIAMS DDS.PA
Doing business as
Gulf Coast Center For Advanced Cosmetic Orthodonics
Practice address
424 Courthouse Rd
Gulfport, MS 39507-1849
Phone
(228) 896-8333
Fax
(228) 896-8335
NPI assigned
Jun 3, 2008
Last updated
Jun 3, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
MICHAEL O. WILLIAMS DDS.PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael Owen Williams, DDSNPI 1013105451
Title
Orthodontist
Phone
(228) 896-8333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X OR-19-80/1738-76 MS Primary

Addresses

Primary practice location

424 Courthouse Rd
Gulfport, MS 39507-1849

Mailing address

424 Courthouse Rd
Gulfport, MS 39507-1849
Phone (228) 896-8333

Other names 1

  • Gulf Coast Center For Advanced Cosmetic Orthodonics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Michael O Williams Ddspa2 organizations share this tax ID, including this one
Part of
Michael O Williams Ddspa

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1538328836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 COURTHOUSE RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395071849",
            "telephone_number": "228-896-8333",
            "fax_number": "228-896-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 COURTHOUSE RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395071849",
            "telephone_number": "228-896-8333",
            "fax_number": "228-896-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL O. WILLIAMS DDS.PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHAEL O. WILLIAMS DDS.PA",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "OWEN",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "228-896-8333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MS",
            "license": "OR-19-80/1738-76",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Center For Advanced Cosmetic Orthodonics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.